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Home My WebLink AboutPermit Signage 2010-4-27 '. ' ',",:"1. . r\. I' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00521 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: OS/27/2010 VALUE: ,;',l:!. ,.,' ..._~ 't,:"::' , ...., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 500 MAIN ST ASSESSOR'S PARCEL NO.: 1703353108100 Springfield TYPE OF WORK: Sign TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Banner Permit: expiration- 5/27/10. Owner: EMERALD EMPIRE ART ASSN INC Address: 500 MAIN ST SPRINGFIELD OR 97477 I CON~~ET0RINFORMATlON ~ Contractor Type Contractor (~ License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: WaWr1!Y.p.~ION: Oregon law requires'SlIcID~sement: R.ljIlWlrP.tiles adopted by the OregcfuJW\liIQiprage/Carport Er(llt:IDfiealltin Center. Those rules arEl'ilJ3FtOillfber: SpnrilUlJil H-uillfiltl:~001 0 throDgn OAR OlrE.qJaht Load: . ,-'.. nnn" V,..,i, .......,,~' .....ht,.,i... ..........pi,-..I!' ......fth..... rId,....... hy I DEVELOPMJiJNfljINFORMA T~e.the telephone IlUIIIU~1 IV' "'~ V,~"VII u"lity Notification REQUIRED PARKING Center is 1-800-332-2344). Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: . Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: '... " --~ -- '-'-' . ,-.'" -, ...., I PUBEI€:IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or mU,lt,iplier Square Footage I , , . or Bid Amount Value Date Calculated Pa2e I of 2 ....../:;.,<;"!xi. '1i!." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00521 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: OS/27/2010 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .,..,il{;'{ .t\a".~ 'I,,",:~", ~,_.t.. ;:;1"[,:V:; . Total Value of Project .lees Paid---, Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fcc Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 4/27/10 2201000000000000415 $5.00',' , 4/27/10 2201000000000000415 $100.00 4/27/10 2201000000000000415 $100.00 4/27/10 22010000000000004]5 Total Amount Paid $225.00 I Plan Reviews ~ . !",~~i4 i~,. 4;:.'. J ~ .~ , '. To Request ilD inspection call the 24 hour tecordingat 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I ReQuired Insoections ~ Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature "'''':'-;,'':; -,'~, 'i"" ',. ~~:"%.t ,,,~1....~.' Date f,t;te ; d?J ", Pa2e 2 of 2 , 225 FIrm STREET. SPRINGFlEW, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~ ..~ ..~ ~ r- ii Assessors Map ~ ~ Owner of Property ..~ t: ~ ~ ":V~C:;'+:;::",':;$,'~~;t1;'~;:J<'~;' >... I': COlltractor/lnstal \.,,~ ';,_,)~l_u' 'E'i.~S".$,,'_ ',5,;,. .:;. "~ = ~ I a II I. '" 'I ~ ~ ~ "~ ~ ~ ~ ~ 1: ~ ~ I ~ M , ~ ,CITy.oF SP~GFIELD, OREGON, , ' , City Job Number CD;l1~ - ~t Job Location Sf?fi? )/[ I'r J;-AJ -<)c ~ l \ 1jD'b?J~~\ . Tax Lot \)~ \CD ~S6c...l Phone 5'-[( ---- l;;}G> '6~<' 'S~ State c'>f2-- Zip <=i -, "-I" '-t Contractor Address Phon" City State Zip Construction Contractors License # Expire< Description hp, t-I ~ L1'>- \;<'L- / I ~k IL~ ~K' ~6. Date of Installation P-flZ\ L- ~ "J. ~o\ () Date of Removal ('<\1"\''-.. D- 'h .Q 0 \ C"l ( \ I Permit Fee: $225.00 including $100.00 Deposit and applicable fees. Cy\-\ liSt \l~ I. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeIine specified, I will forfeit the $ 100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per deVelopment area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection '11-b gin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has be n rem Date of Application Job # Receipt # Issued By Amount Collected Shared Drive (T:)lBuilding FormslBanner ]ortable Sign Permit CSD 7-08.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone QLj.~""r..ijA...... .. ..... ~..~..... ~' ~ .,_.,___ "~~0_"'" -~.. J' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000415 Date: 04/27/2010 2:31 :40PM Job/Journal Number COM20 I 0.00521 COM2010-00521 COM20 I 0-00521 COM20 I 0-00521 Payments: Type of Payment Check cReccintl Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By EMERALD ART ASS. Item Total: Check Number Authorization Received By Batch Number Number How Received KLK lOll KLK In Person Payment Total: '.!' :t'r\'j\' i~, ~ 1.;-'\'.'} ~ .,~ ' i-'.,~ ," .ti~! Page I of I Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $225.00 4/27/2010